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General NPI Number Information
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NPI Number | 1780829267
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Entity Type | Organization
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Legal Business Name | A&A CARE MANAGEMENT
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 12/11/2008
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Provider Practice Location Address
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Address Line | 220 STONEBROOK DR
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City | FOLSOM
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State | CA
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Zip | 95630-1637
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Country | US
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Telephone | 916-436-6252
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Fax |
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Provider Business Mailing Address
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Address Line | 220 STONEBROOK DR
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City | FOLSOM
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State | CA
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Zip | 95630-1637
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Country | US
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Telephone | 916-436-6252
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Fax | 916-988-2519
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Authorized Official
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Title or Position | PARTNER
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Name | CHARLENE VAN HORN
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Credential | RN BS
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Telephone | 916-436-6252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 09-140
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License Number State | CA
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